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Disease-Specific Care Certification

The certification process is initiated when an organization completes and submits the Application for Certification. This is a two-part electronic document for the initial Disease-Specific Care program seeking certification, which provides essential information about a program such as:

Organizational demographic information, including identification of the disease-specific care service(s) requested to be evaluated and preferred month of review,

A reference to the clinical practice guidelines used for each disease state selected for certification, and

Specifications including rationale, for four performance measures, including at least two clinically-focused measures.

By analyzing this information in advance of the on-site review, the reviewer(s) will begin to have a clear and comprehensive picture of your organization’s current strengths and growth opportunities. This advance analysis of the information will also make the on-site review time more efficient and focused.